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HomeMy WebLinkAbout020-1481-09-009 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592272 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2927363 Permit Holder's Name: City Village Township Parcel Tax No: JOHN PATRICK LALLIER/KATHRYNc3 TOWN OF HUDSON 020-1481-09-009 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /5'_ 07.29.19.3060 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER n~ CAPACITY STATION l,5 I FS ELEV. * q. 0 4.0 ll Septic Benchmark f` lo`1 (,~,~Q ~ I (J 7 Dosing k3 0 Alt. BMr( V. (,VR Bldg. Sewer )6 is cv- Holding St/Ht Inlet W SUHt Ou c~ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ' l 2160 Dt Bottom-* Dosing h /I Lk al It 0. tt .,U Header/Man. Aer on Dist. Pipe - Holding Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Co er _ j GQ v It- GPM t-`T(L CA ~~J OII~ Model Number TDH Lift Friction Loss System Head T14Ft 1 15 r. Forcemain Length Dia. t t Dist. to Well SOIL ABSOR''-~JP((TION SYSTEM Pit Inside Dia. Ligy~d Depth BED/TRENCH Width / Length r No. Of Tr nche PIT D S No. Qk~ DIMENSIONS SETBACK SYSTEM TO P/L C BLDG WELL KE/STR LEACHING Manufacturer: INFORMATION T e Of em: CHAMBER OR YP AIMA Irnn / r,1,0l > n / UNIT Model Number. ::~D DISTRIBUTION SYSTEM Header/Manifold J Distribution tt x Hole Size x Hole Spacing Ve to Air Intake Gj YA Pipe(s) t ia Lengthy Dia ! ~-7 Spacing ~ "`CX Lengt D 4SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over I ( Depth Over xx Depth of / xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil I/ Yes ~ No Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /gyp r Inspection #2: Location: 1051 AUTUMN OAK LN SA J (tq4_~_ "Old 1.) Alt BM Description = " l.oti!; t GUi , +lt 2.) Bldg sewer length f"-A:( - amount of cover = / RQ, Plan revision Required? ❑ Yes ❑ No Use other side for additional information. Date Insepctors Cert. No. SBD-6710 (R.3/97) 1 C unty RE(';r` Safety and Buildings Divisiort-. 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be 5lled in by Co.) Q $ +.r Madison, WI 53707-7162 ZZ p 1111 APR 7 7, courrrY 7; 0+ ioxs~ o State Transaction Number emit Applic'~ Z z 7 36 '3 Lt In accordance with SPS 383.21(2), Wis. Adm. Code, submission of th is required prior to obtaining a sanitary permit. Note: Application forn -,U rvw t are submittry Project Address (if different than mailing address) al Servies. Personal information you provide may be used for second the Departme'ht of Safety and Profession ary purposes in accordance with the Privacy Law s. 15.04 1 m ,.Stats. l ~lu+ N Q+~ 1. Application Information Please Print. All Information Parcel # Property Owner's Name , i, C r L, LL-1C-A ({tZ ,AIJ T Property Location L'1 z . ALl o C, L) Property Owner's Mailing Address - ; Govt. Lot City, State Zip Code Phone Number A3G y, LQ 1/4, Section --*2- '.`C~ (circle one) ~(,~L` A W 1 C%I L T~ N; R! 1-00 H. Type of Building (check all that apply) Lot Subdivision Name X--1 or 2 Family Dwelling - Number of Bedrooms C7--) aL Block # W ! ❑ Public/Commercial - Describe Use I~ ❑ City of CSM Number 11 Village of ❑ State Owned -Describe Use _ Town of iLki r' S it `l~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) o 4,4, A t ❑ Other Modification to Existing System (explain) New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only B. Number and Date Issued List Previous Permit ❑ Permit Renewal ❑-Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type ofPOWTS System/Component/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade k Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank er Dispersal Component (explain) Pretreatment Device (explain) V. Dis ersaUTre tment Area Information: Design Flow (gpd) Design Soil Application Rate(gpds 11111111 Dispersal Area Re uir y Dispersal Area'Propo (s System Elevation b© q loc>o ~j~ p VI. Tank Info Capacity in Total # of Manufacturer Y Gallons Gallons Units o ° U y New Tanks Existing Tanks h/ O 1Jk w U n 2 v~ w C7 Lz- Septic or Holding Tank I Z i E~Z Dosing Chamber Qt.) Git) ~`U .~G)Lr~^f VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/3~lumber Business Phone Number 4, /2-1- Z7--, Plumber's Ad&css (Street, City, State, Zip Code) / L 4- Y(9 VIII oun IDepartment Use Only Permit Fee Date sued Issuing t Signatwe Approved D' $ . ~ ❑ r iven Reason for Denial IX. Con dit;li5Y6TWrQWA~Rasons for Disapproval tltSltet s,i cell !tlt~t ill E' s i i~ ei. W ~e, r~I~ ►'"r"ow fM•/ uatP~rrpar~Gem@ttl~IFrl ~i~1~~~4a?;• 2 ~.lPjtQlreeR4~t~~s llji ,t . 1FE.? 49PV *PIA" t4XIO I itli ~ l lt,~~: Attach to complete plans for the system and submit to the County only on paper not less than 8 in x 11 inches in size SBD-6398 (R 11/11) Plot Plan Page `d of% Property Owner Wes ' C ~ fA-M. ' ' %MUrt~ Legal Description tef , W rtl j&,- r)+rs N c, /y P,F (except where noted) Tfi& A S.-6. 7 Tzg -R 19 W I -rbw,4 OF ffKC--r F _ Backkoe pit' a Z.-0 -139'-- 00 ~VII~'v LJJl~ ti 3 2-6, 7o SEPT, 771, F Pig Li ~ ! nk'7~ SIB c d fi ;a V f~ C ~ t3 u any ~ U o ,~,~v rw i~ t NEW 1nAE~~ izo6' 3~ E ~ U#~ LccuJ Ts~j}~ v~Et P~T~~ } P C1~jv, ~ N N 1 Zen ~ ~ lot k D t RA ~A~` nn n Site L cafio is 1 00 Aff 00Nt e-f'L i OX Y.-./ C. i 4 iF-A57 PIL l ~~R~`~rE1 DIVISION OF INDUSTRY SERVICES 1 ~fo\ 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 S Contact Through Relay y\ P S http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ' ~ssroti ~L~~ Scott Walker, Governor Laura Guti6rre2, Secretary April 05, 2017 F CUST ID No. 224832 ATTN: POWTS Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA 28497 KING ARTHURS 1101 CARMICHAEL RD DANBURY WI 54830 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/05/2019 Identification Numbers Transaction ID No. 2927363 SITE: Site ID No. 836830 Lallier Tierney Please refer to both identification numbers, 1051 Autumn Oak Lane above, in all correspondence with the agency. Town of Hudson St Croix County NE1/4, SW1/4, S7, T29N, R19W FOR: Description: Mound System (4 Bedrooms -New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1699665 Maintenance required; 600 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD 10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pum} prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area • Divert surface water from POWTS Area. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire MARY JO HUPPERT Page 2 4/5/2017 the site is too wet to prepare If it crumbles site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 8c 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 ,Zm This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleestawisconsin.gov MARY JO HUPPERT Pa.-e 2 4/5/2017 the site is too wet to prepare. If it crumbles site preparation can proceed If the site is too wet to prepare do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Anv changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services Pa WiSMART yment S code: 1. 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vai-iderleest@wiscoiisin.gov MAR 2 0 2017 INDUSTRY SERVICES MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residentiai Application INDEX AND TITLE PAGE Project Name: JOHN PATRICK LALLIER/KATHRYN TIERNEY Owner's Name: (same) Owner's Address: 750 Martin Avenue Hudson, WI 54016 Legal Description: NE 1/4 of the SW 1/4, Sec. 7, T29N, R19W Township: Hudson County: St. Croix Qe -bdi%ASir%n Name: M I✓li I.I - Whispering Oaks V Lot Number: 9 Block Number: NA Parcel I.D. Number: 020 -1481 - 09 - 009 Plan Transaction No.: Page 1 Index and title N' Page 2 Data entry < -.~•r,,.•,a: Page 3 Mound drawings Page 4 Lateral and dose tank p~ Page 5 System maintenance specifications a _ Page 6 Management and contingency plan T Page 7 Pump curve and specifications .a = Page 8 Plot plan s; a Designer: Mary Jo Huppert License Number: 1859 - 007 Date: 03/15/17 Phone Number: 715 - 426 -1775 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSA"JfVIP PubEication 91.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page! of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R' Residential or Commercial Design Note: Sand fill (D) cakvlabons assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-443 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal COlifOf`n of 36 inches. 600.00 Design Flow (gpd) 5.00 Site Slope 101.50; Contour Line Elevation (ft) _;q.00, Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rats (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disrbution Information network? Enter Y or N (C or E) a Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) 3' Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 3.50 Estimated Orifice Spacing (ft) = 11.76 ft2/orifice .2.00 Forcemain Diameter (in) 55.00 Forcemain Length (ft) Does the forcemain drain back? _ Y 91.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 8.97 Forcemain Drainback (gal) 10.93 Vertical Lift (ft) 55.97 5x Void Volume (gal) k- - 0.91 Friction Loss (ft) 64.94 Minimum Dose Volume (gal) 0.00? In-line Filter Loss (ft) 27.46 System Demand (gpm) 16.38 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice n._ .75 1.25 x x 1.00 1.50 x 1.25 x .Xx~... ; 2.00 1.50 x 3.00 2.00 x _ 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) PolyLok Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 122 Filter Model Number Weiser Manufacturer Project JOHN PATRICK LALLIER/KATHRYN TIERNEY Page 2 of 8 Mound Plan and Cross Section Views T 1/108 observation Pipe © l F-T-0 ~ A W ~ B I- . ® L Mound Component Dimensions Down slope toe extension made. A 10.00 ft E 16.00 in H A5.49'ft ft K M30.49 ft B 60.00 ft F 9.25 in 1 ft L ft D 10.00 in G 0.50 ft J W ft 600.00 (ft2) Dispersal Cell Area 1500.00 (ft) Basal Area Available 10.00 (gpdt t) Linear Loading Rate 6.00 (ft) 1/10 8 Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.10 (ft) -a 2 G t H 102.83 (ft) Lateral 102.33 (ft) - Dispersal Cell Invert Dispersal Cell Elevation D 0 101.50 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key m T Dispersal Cell Q Topsoil Cap V ~ See lateral details on P o 1.5 ft Page 4 for number, size, ❑2 Subsoil Cap 00 5Q and spacing of laterals. ASTM C33 Sand O /y0 T Laterals are equally F aced from the ® C] Tilled Layer a 0.5 ft Typical Lateral distribution cell's Q Aggregate b o E51 ! centerline in the _ A distribution cell (AxB). Project: JOHN PATRICK LALLIER/KATHRYN TIERNEY Page 3 of 8 End Connection Lateral Layout Diagram Center the laterals over the A & 8 dimension 4W= Turn-up vatball valve or clesnout plug p l All laterals are i4emical IE X I Holes drilled on the bottom Of the lateral equally spaced S Laterals &forcemain Sch 40 PVC per SPS Table 384.30-6 S Force main connection via tee or cross to manifold at any point. Number of Laterals 3 Office Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.66 ft Lateral Length (P) 58.56 ft Orifices per Lateral 17 Lateral Spacing (S) 3.33 ft Orifice Density 11.76 ftz/orifice Lateral Flow Rate 9.15 gpm Manifold Length 6.61 ft System Flow Rate 27.46 gpm Manifold Diameter 1.25 in Total Dynamic Head 16.38 ft Forcemain Velocity 2.80 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - SPS 316.300 WAC ¢ in. min. Disconnect Tank component is property vented E Alternate outlet location I I Forcemain diameter Weiser Manufacturer 2 in. Ca cit 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.15 448.16 C B 2.00 44.48 1 Dump off elevation (ft) C 2.92 64.94 91.91 D 10.90 242.42 D Total 35.97 800.00 tank elevation (ft) 3' Bedding un er tank. 91.00 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number Tank AlertAB containing mercury may not be used in Pump Manufacturer Gould _ this system. Pump Model Number PE 41 Pump Must Deliver 27.46 gpm at 16.38 ft TDH Project: JOHN PATRICK LALLIER/KATHRYN TIERNEY Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name i'lbriwht Pumping Phone 715-703-8337 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1 /8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 Mull 00 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 years Pump and Controls Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bail Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: JOHN PATRICK LALLIER/KATHRYN TIERNEY Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01 /01)) and local or state rules pertaining to system maintenance and maintenance reporting- No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shah be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/1- BOD5, 30 mg/L TSS, 10 mg/L FOG; and 104 cfull00 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumu!ated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 arches considered as an impending hydraulic failure requiring additional, moue frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. I-A s ~ Wastewater METERS FEET 40 MODELS PE3 PE5 1: PE51 _ = - - - 35 - v. 10- - - - - - 2 GPM 30 E41 - 1 FT m PE3 t 25 z 20 p 15 10 5 0 0 10 20 30 40 50 60 70 GPM 80 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 PE41 PE51 Total Head Total Head Total Head (feet of water) GPM (feet of water) GPM (feet of water) GPM 5 52. 8 61 10 67 10 42 10 57 15 59 15 29 15 46 20 50 20 16 20 33 25 39 25 0 25 16 30 26 35 8 ~B(I A) 12tct< LAW ~t2~ ~'7f+(LY~ w~1 ~ 7t~ ~ i Plot Plan Page Y o, fib fit`v-°-~ Property Owner 44 XW LLVPM -4 T-ter,;VE y j" _ soft Legal Description a f v, w r,s~iu--, c~ws: N i A 4F {except where noted) THE iswAf SEC. 7• ~Tz-t 1I # -R 19W ~ TG W ~ OF H KOE-01 F_ Paci~oe pit ~T. C~Dix C-~unt~,l, w~5c~1~5~~1( 0 bq_ coq in,:;) A +ia AApl~ v,Ai/, I Ater '7 n r y~ GG ~WF1.L 7D ~ t `i r 7 S~ r.hA K S 7 7T Mau ND G svs~,v. LI S' E d h i~ y ~A t~ i Shy ~ Cy 2{ 1 rJ 'Y ~'J i S E~ 9 ~ t a s New lnJfE-~F-F, Izd°/dca cm..A Lt onl 'TSW gK. WI plk TE t T AW RFC N 7 7. l3 ~ ~ -W N _ _RA A~~` • nri S.~n I 1 bU N6T 104a1€ ~ c~~ Site Location: y: ~ F G f} S7 pl L w { AuthaMk(pn 10; QE299980-T7E541FA4SE94)CTFVM5F4F ST CROIX CO`M SBPTIC TANK L ADnMNMC B AGRBBbMT AND OWNMW CERTIFICATION FORM OVMW/Buyta• <To, i c ct u~ Address 7 SO f7,v £ uJSv n~ A) J- ll //S' o Addrm /4 1 L14 propoly (v required Sam Ph nn{ag Depart flu UQw c~ aoMU a 1Ju,6.S,*v Parcel Identification Number 1 La -1 & 1-a9 --oy 9 /t! tr SW V4, Sec. 7 . T.,~N ~W. Town of ~o soN , Frrypecty Loastion Lot 5ubdivislon Agaljo volum ~.PW it 3 9 (wgflad Barney map # warraid ' Dead # ! U 41 Volume . Page # ida®tifiabla yes ❑ no Lot lines 1~ no MADMINA= Impropor ase and muf *MUwaf your septic systernoould ttiaait in its preeaabnre iti#tareto iaadie washes. ProPae o£ pampisg out dw septic talc avmy ti = yem or sooner, if tieedod by a Wowod paatper. what ym pat We die sYstm Cam" cm abbot tie iiroodo n of the septic tank as a troatow t stage in the waste dbpwd system to suit to St. Croix Zoning Depa ftnM a ccdffl tlm tA. sigod by the owner cad by a m~popedy w.~rpitm~bOCCratioeaaedpsamiparvaii~L~B~(i)ttteoaaltewasde~r:Leirdisposalsysbam { is in proper opoaniag comotion and/cr (2) after in~ sad panp4ag (if neoesast N the septic tm* is ksa ft a 113 titll of Audgs. sat ptosowceR Sew of Wiso~in. Cordda im so a, the mrrelas a: se a se lucre read p abo t of Commerce w d the Depatdment of Naiad fAedr,1►erain. t by die Depsrtmcnt stadog that your septic system has beau maintained must be ocagAstod and reused to the St. Cmbt Coo* Zoning Office witida 30 AG"Ahwe year aamhadoo date. IA02 redLE1'aft 03/2812017 r 03MW017 3 2- fl CER3MUCATMN I (WO) cuft dut all St "Mou s on dds inn are taro to rho best of my (our) knowWS& I (we) am (are) 60 awnm(s) of spt"ew&od above. by 7ht" of a warranty deed reaaded in Rag 0W of Doeds Oiflioo. Uol* roodA e Ad&w 03/28/2017 Aw*M * m _ 03QM017 ~1 1 7 - Olt -ii SIMMM OF APPLICANT DATE 321MY sAM Mew mAobed by the Z*Wng DeparMML ss*«+►• My iatbrmadou that is ~eatedmay nwu1t is the sanituy pan* btu Isdade wills d ft apptrsa: a #nmpW wmnnW flood ffom tie RftbW of Deal offioe a copy of the oerdtied survey atsp tf caw is made in the warty deed 0 LOT 14 Q LOT 10 ; 44,181 SQ. FT. 43,702 SQ. FT. rn 1.01 ACRES I ° ' 1.00 ACRES _ N ~ n ° { N - N ° N89'46'00"E 334.54' (927.9) I ~ N87'49'26"W 326.15' a SURVI LOT 13 o LOT 9 o w [,Joseph 44,731 SQ. FT. N 33' 33' N 43,859 SZ'FY. ° compllan 1.03 ACRES 1.01 ACRES LL subdivisi 616 - 6 LLC, owr I~ z_ Phase II; J of the lar (92015} S88'31'08"E 340.55' W T79N, S87'49'13"E 319.77' S~J, O3 l OutlOt 1 4 - 33' 133' County F 6,6' m L Dated tht z I LI, Jose h Gran erg i9Mb9dp68WPe I~ wn.arr'~ewn m..wwpu..eww n.urc Wrygg4x/ep~p 'wI SAN UG777U1BJ gly~OlY fAV\OlpeYatl L/1L 7PJ I 0 mw~.Wmaw9Faawmh 7S653M'i'°~ i N~ra~+w.aao~~r.v I as~~.w..oivw~w~.~nm.am.a~ seas aRroawsi ill 3!l ° al a',, d ~ ~ I ~ ~ 9 I l li n li t ~ ~ 1u Z~' - P aN 0 ,i I II Is 1. z 0 F- II I ~ a Il' ij~ :II.I,I,I J~ ; I I', I ® UJ I~I~d~ ~ Ih Ili III ~t ti l ~I III 01 ® ® Z II t E3 rED31 i JEIEI ~i II z ~E3 g ® ®i. 1IMP uj Uhl E4 Ian m w z _j ~ to ® w n~ 17L 1 S J 8 X3db'd =ZfXTT NO G-UNMd dl NOLL7XGd 97b'JS-nw -310N .'+narn'~ewo m.uw .m wn w1.r(kgep.-p 7-3 •3ui SaujoH uo12lUq 'I ~ ~ i i w.a~~a~®~na®ovar.aom. uWag-Su VD i O V1 q ag4iFal ypm 1~/p f[ - /L[E465[L'Vd 4MnPM ~pdwp (L ( `i 4f4W9m lEFClaYnm({ T1651M '-W -Y1 +au.avoamw.~~w..o ci N +w~w.wuaa+r»n,vmwm.a.~w a~+s M~~aeos2 la-97lld$ omrnu,mn.p'w msa ~LUaumae 7n ~lAa~I~Plo(IP~^e ~ ~ ~ ~ ~ t I ! ~ x nIPM u M Feud A~ Y 14yioiD P~+W t 4 62 2 N 2 l j g08 ; ig IN A.3 Z o LL~Q 3nin~ G6 O A.L rs rA s, L A - A -JT @~8g xs 2ea i i a t9 a. ~ ~a p ~ t e az rm Li 4 s tQ FS r8 'tr -K I Z gJ K I Y3ddb'd MS LTXTT NO Q31M1W _ 1 AlOZL7/X9Y _ 1VX 97VH -3LOAl .M+oen>•a~on i w ~ naou.nawcn~m~ ~~u ~ -.DUI SaUM)H UQ13W¢D "r ~.~4rw.wam.~tE ! ~ ~ I O to M~uvabwwmo~Ew.o 156sLa'TT~ Jv ! , ~ ~ t \ +wa•...wwn..w~. n.w.nm.a a ~R~aeost PA.9 J!PS rmn.w•wm~m~aa ~uwmps ~aa~avoea ~ ~ ~ ~ I ii I I i C~'1 nn..aw~..w oarodw.+a~rar►rtna+.u an d i 003.. ~ ~gg 0 n b ;;pR .o-x ru AL R OE wai .aot .az o-c ..m ¢ O 3 gI s 0 >r .tee as r n - ~ a ~ ii 8tl ~pT H E s E-Ee .us i 2-MW 3ZH ZrXTT NO 031Mt/d 3T NoLona-gy 7VX d" dN -3[ON t Wisconsin Department of Commerce SOIL EVALUA%Q 4 ~ RT Page -L of 3- Division of Safety and Buildin V accordance with Comm 85, Wis. Adm. Code I' IAI County Attach complete site n pai ss than 8 1/2 x 11 inches in size. Pd rt~Us03 2Q ce4lx include, but not limited . ve ndhorizontal reference point (BM), direction and U anal I.D. percent slope, scale or dimensions, north arrow, and location and distance to3feiug~ road. ° Z(Y /X CCU e ' ed by Date Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ( 3 Property Owner Property Location WwP S Govt. Lot 1/4 1/4 s7 T01f N R 19 E (or)(5 Property Owners Maili ddress Lo # lock # Subd. Name or CSM# VC2 P!I ,F Pb LJI~~►s rt~nr Q~ t' City State Zip Code Phone Number City ❑ Village A~I.Town N:Wes t Road taw Construction Use:.KResidential /Number of bedrooms / Code derived design flow rate -5~ OG GPD ❑ Replacement L ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: System Type J~-J/ System Elevation F-A Boring # F1 Boring Pit Ground surface elev. r y ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant or Redox Dascription Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 vz_ a Boring # E] Boring wIS-pit Ground surface elev. / to ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. rM~ unsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 (/r S r rn ( 1'M1 Fi'' c.S Z 1rr11 2,1 11 16 i F,LF 5 yI` S I m' r; ~~a n a 2- • (o Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signe CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715-246-4516 r A. Property Owner _ Parcel ID # Page of Boring # Boring Fg-1 CE§-pit r Q Ground surface elev. L 1 ~ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 2 12--3 ifM cI n+s` K m F-r 4 % Y T- -7 a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.6/00) a Property Owner _ Parcel ID # / Page of 1-91 Borin Boring ~ r J i 9 ,L pit Ground surface elev. ft. Depth 'o limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff42 2 IZ-3 fry cI 2rnsb k m Ft~ F' (o I ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 ❑ Boring Boring # F-I ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SB48330 (8.6/00) ` Soil Test Plot Plan// Project Name NWP Holdings LLC Sha ` ird Address 1844 River Ridge Road r' Hudson Wi 54016 CSTM #226900 Lot 9 Subdivision Whispering Oaks DAe 5/28/13 NE 1/4 S W 1/4S 7 T 29 N/R19 W Township Hudson Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe at lath System Elevation TBD *HRpSame as Benchmark Scale is F = 40' unless otherwise noted 135' Property Line I 99.5' 101.5' 100.5'' B-2 5% Slope 80' B-3 ~`1J 20' 10' 40' B-1 20 340' Property Line LB.M.* 100'